NESA XSIGNAL® терапия в андрологията
NESA · Andrology

Balance for systems sensitive to stress.

Non-invasive neuromodulation supporting andrological health through autonomic balance.

Self-recognition

Do you recognise yourself?

Erection and autonomic balance

✓difficulty achieving an erection
✓difficulty maintaining it
✓worse with stress or haste
✓performance anxiety
✓less confidence
✓morning erections sometimes present
What happens in the autonomic nervous system

Like a hose with the tap half-closed — not enough blood arrives. Erection depends on the “brake” (parasympathetic); with “gas” the vessels constrict.

Self-assessment, not self-diagnosis — discuss with a professional.

NESA benefits

Non-invasive modulation of the autonomic nervous system.

01
01

Regulation

Support for autonomic functions.

02
02

Stress

Lowering sympathetic stress.

03
03

Discretion

A non-invasive, painless approach.

Study results

What the data show — in context.

Overactive bladder · published study

The usefulness of NESA® in overactive bladder syndrome is the subject of a published study: “Usefulness of NESA®, a new non-invasive neuromodulation system, in the treatment of overactive bladder syndrome”, Continence 7S1 (2023) 100747 — DOI: 10.1016/j.cont.2023.100747 (ICS).

Autonomic regulation, stress and sleep · general mechanism basis
HRV

SDNN and vagal tone (RMSSD).

−30%

anxiety/obsession/hostility (20 sessions) and +40% alpha waves in the PFC (EEG) — Álvarez de los Heros, UAH 2019.

−22%

night awakenings and −11% nocturnal heart rate — García et al., Front. Physiol. 2022.

+4,2

points on the ejaculation profile (PEP) in premature ejaculation, pilot study — Poyato-Galán, Rev Int Androl 2026.

No IIEF or erectile-function percentages are stated here — none are published as an established outcome. The figures above concern autonomic regulation, stress and sleep and serve as an objective basis for the mechanism; andrological outcomes are assessed individually. Data from peer-reviewed studies; individual results vary. Information for healthcare professionals.

Downloads

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Mechanism, indications, protocols and clinical data for implementing NESA.

PDF NESA presentationBulgarian · NESA ↓
NESA XSIGNAL® терапия при андрологични оплаквания — микротокове през крайниците
Across the four limbs

Microcurrents through the wrists and ankles — the whole autonomic axis at once.

In depth · autonomic regulation

Sexual function is an autonomically governed process.

The parasympathetic contributes to erection, the sympathetic governs key aspects of ejaculation. A shift of the sympatho-vagal balance — through stress, sustained tension or raised sympathetic tone — can present as functional and control disorders. NESA aims at a more favourable baseline via improved autonomic regulation — a supportive effect, alongside urological-andrological assessment.

Classification: the andrology application builds on NESA's general protocols. Application here is adjacent and partly pilot-stage, based on general ANS programmes. Autonomic baseline regulation: P1, P2, P7, P8; electrode sternum, C6–C7; WeCardio. Three phases: central → metameric → focal. 60-min session, LOW; fine-tuning is at the specialist discretion.

Evidence — in context

For andrology we build on one pilot study and on NESA's general ANS evidence. The data are early and allow no generalized claims or transfer to other andrological indications.

+4,2

points on the ejaculation profile (PEP) in premature ejaculation — pilot study, Poyato-Galán, Rev Int Androl 2026.

HRV

HRV (SDNN) and vagal tone (RMSSD) — general ANS evidence.

Limits & safety: NESA is applied after individual medical assessment; for andrology the application is adjacent and pilot-stage. Protocols are guidelines. XSIGNAL is a medical device — applied after individual assessment. Sexual dysfunction should be clarified urologically-andrologically before use. Absolute contraindications: pacemaker and pregnancy (in a partnership context).

Protocol · 12–20 sessions · 2× weekly · 55 min

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Therapeutic logic

At the core: programmes P1–P9

Every protocol in this field combines the reference programmes P1–P9 — general homeostasis, body levels, ANS/CNS and targeted nerves — according to the clinical goal.

See programmes P1–P9 →
Limits & safety

Protocols are guidelines.

·

Parameters are guides; the therapist adapts them to the patient.

·

NESA is applied after individual assessment — as part of the overall medical plan.

·

Absolute contraindications (pacemaker, pregnancy, active electrical implants) follow the device IFU.

INDEPENDENT CONSULTING

Before you invest — the independent assessment.

We map clinical goals, workflows, budget and reimbursement — then recommend the solution that meets the department’s needs, not the easiest to sell.

Assessment & selection →
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